Indiana Mentor Adult Foster Care

LBN: National Mentor Healthcare, Llc
Indiana Mentor Adult Foster Care is an health care organization with primary practice located at 719 Haney Ave , South Bend IN 46613-2609. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. National Mentor Healthcare, Llc can be contacted via phone (317) 581-2380, or through Cohen, Brett Ian via phone (800) 388-5150.

Contact Information

Primary practice address
719 Haney Ave South Bend IN 46613-2609
Phone: (317) 581-2380
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cohen, Brett Ian
Phone: (800) 388-5150

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1194034827
LBN Legal business name National Mentor Healthcare, Llc
DBA Doing business as Indiana Mentor Adult Foster Care
Authorized official Cohen, Brett Ian
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2010
Last updated Mar 5th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194034827 NPPES
Indiana Other 200943350A PROVIDER NUMBER

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